HMG-LA Pathways Technical Assistance Provider RFQ- Conflict of Interest Assessment

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Please use this form if you are unsure whether you or your organization may not meet HMG-LA Pathways Technical Assistance Provider RFQ's eligibility requirement because you or your organization might be part of a Unifying Agency, Collaborative Agency or Supporting Partner. This is not a required document; rather it is a voluntary tool to help interested proposers determine if they are eligible for this funding opportunity.

The following organizations have been selected as Unifying Agencies (pending Board approval):

Community 1: Child Care Resource Center (CCRC);
Community 3: Children’s Bureau of Southern California;
Community 4: Westside Regional Center (WRC);
Community 5: Heluna Health/Eastern Los Angeles Family Resource Center; and
Community 6: South Central Los Angeles Regional Center (SCLARC).

Please note you may be asked follow-up questions.

If you have questions or want to request additional regarding this RFQ, please submit them to Daisy Ortiz via email: dortiz@first5la.org.

Email *

Untitled Title

Name *

Your organization, if applicable

Identify the community and Unifying Agency you want to inquire about:

Column 1

Community 1: Child Care Resource Center (CCRC);

Community 3: Children’s Bureau of Southern California;

Community 4: Westside Regional Center (WRC);

Community 5: Heluna Health/Eastern Los Angeles Family Resource Center; and

Community 6: South Central Los Angeles Regional Center (SCLARC).

Please submit your question regarding eligibility here. (please include links, if needed)

Please identify any affiliations you may have with the identified HMG-LA Pathways collaborative (Unifying Agency, Collaborative Agency, and/or Supporting Partner).

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